1981, 06-23 Permit: 81A-6250 Plumbing Fixtures ' PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 1 (c, c'
b NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1.
� O 3 * * 2 1.00
7 . Irl1 LEGAL DESCRIPTION - SEE ATTACHED * 21. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 21,006
OWNER i CAIRO ¶ti N I L PHONE�+I A * 0 0 0 2
3.
ADDRESS �� ��� Actual Set Backs in Feet 624.9_
6 North [South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 6-2 3- 1
4. g. 6. 474
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF �/ ❑ OTHER Req'd. Recd. Not Req'd. .f
WORK
0 BLD. D'S PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
_
DES K i Enum. Dist. Location (Area)
8. NMX�U Kr FEES COLLECTED II
VALUATIO
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9, UTILITIES Public 0 Private 0
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the p-
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION — _2 3- 87 SIGNATURE OF APPLICAN1 (2.01.4.4- 1 . ..."9"..27-03 -7.07., Mech.
SPECIAL APPROVALS SPECIAL,CONDITIONS:
NAME DATE I, VVi,.l G Plan Check
Env. Health ��I /�
I. CL)' SEPA
Planning I f 16 -
Fire Marshall 1 KY� �+I ,I� Mobile Home
"? lv u_
Co. Engineer I Other (Specify)
Utilities ^^77 i
TOTAL $/'� 1
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
a�Ted `n ` PERMIT IS NONTRANSFERABLE021Y48 1 6 2 5.0z * 2 10 0 a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL